Organization Active NPI

Omni Solutions LLC

  • Marriage & Family Therapist
  • Mankato, MN
National Provider Identifier
1215523477
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
OMNI SOLUTIONS LLC
Practice address
709 S Front St Ste 2
Mankato, MN 56001-3887
Phone
(507) 304-7020
Fax
(507) 304-7022
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taryn Nicole Surdy, LAMFTNPI 1821684085
Title
Owner
Phone
(507) 304-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

709 S Front St Ste 2
Mankato, MN 56001-3887

Mailing address

709 S Front St Ste 2
Mankato, MN 56001-3887
Phone (507) 304-7020

Other names 1

  • Surdy Family Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324000272 MN Part B Supplier - Clinic/Group Practice 6709293541 Receives reassigned benefits from 4 practitioners
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

403 S Broad St
Ste 20
Mankato, MN 56001
Phone (507) 304-7020

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1215523477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S FRONT ST STE 2",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013887",
            "telephone_number": "507-304-7020",
            "fax_number": "507-304-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S FRONT ST STE 2",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013887",
            "telephone_number": "507-304-7020",
            "fax_number": "507-304-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "SURDY",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-304-7020",
        "authorized_official_credential": "LAMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surdy Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surdy Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.